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Table 4 Barriers to lifestyle counseling in diabetes care at the patient level

From: Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis

Categories

Knowledge

Attitude

Skills

Compliance

Sub categories

1. Little insight and knowledge

of one's own behavior and health

2. Language barriers

3. Wrong information from the

environment (social influences)

1. Unwillingness

caused by:

    a. Not liking to change or not wanting to change

    b. Age

    c. Previous experience with dietician

2. Excuses

3. Habits

4. Cultural differences

1. Physical restrictions

2. Financial restrictions

3. Location of exercise programs

4. Addiction to smoking

5. Noncompliance with advice

6. Psychosocial troubles

1. Lack of immediate results

2. Difficult moments

3. Potential relapse

4. Lack of discipline

in maintenance